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Avera Creighton Care Centre

1603 Main Street, Creighton, NE 68729 · Knox County · (402) 358-5701

47 certified beds, about 39 residents a day · Non profit - Corporation · Medicare and Medicaid since 2010

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285284 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 3, 2025, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

None of its 11 health citations since September 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.81 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 1.23 of those hours.

55.1% of nursing staff left within the year CMS measured (Nebraska average 48.7%).

CMS links it to Avera Health, an affiliated group of 13 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
2F
Potential for minimal harm
0A
0B
0C
December 3, 2025Standard inspection · 4 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B)(D) Based on observation, record review and interview; the facility failed to complete hand hygiene at appropriate intervals to prevent potential infection/cross contamination during the provision of cares for Resident 1, 3, 12, 20, 28 and 36. The total sample size was 12 and the facility census was 37.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 17, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(E)Based on record review and interview; the facility failed to ensure Resident 2's Post Traumatic Stress Disorder (PTSD-a mental health condition caused by extremely stressful or terrifying events. Symptoms may include flashbacks, nightmares, severe anxiety and uncontrolled thoughts) triggers and interventions to address triggers were identified in the resident care plan. The total sample size was 18 and the facility census was 37.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2026
    Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.09(l)Based on observation, record review, and interview; the facility failed to implement assessed interventions to prevent a potential injury from a hot liquid spill for Resident 32. The facility census was 37 and the sample size was 1.
  4. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(vi)Based on record review and interview; the facility to ensure residents received trauma informed care related to diagnosis of Post Traumatic Stress Disorder (PTSD-a mental health condition caused by extremely stressful or terrifying events. Symptoms may include flashbacks, nightmares, severe anxiety and uncontrolled thoughts) and to identify potential triggers as well as resident preferences to prevent and/or mitigate re-traumatization for 1 (Resident 2) of 1 sampled resident. The facility census was 37.
September 24, 2024Standard inspection · 2 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 9, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.17 Based on observation, record review, and interview; the facility failed to perform hand hygiene (hand washing using soap and water or an alcohol based hand rub (ABHR) at the required intervals and to utilize the required personal protective equipment (PPE-can include items such as gowns, gloves, masks, goggles and/or face shields) during the provision of room tray meal service to prevent the potential spread of COVID-19. This practice had the potential to affect all facility residents. The total sample size was 17 and the facility census was 34.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 9, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.12(D)(i)(2) Based on observation, record review and interview; the facility failed to account for narcotic medications according to the facility policy. This had the potential to affect Residents 6, 26, 3, 21, 8 and 17. The total sample size was 13 and the facility census was 34.
September 5, 2023Standard inspection, Complaint inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11E Based on observation, interview, and record review, the facility failed to ensure hair was restrained with a hair net, proper hand hygiene was followed and that utensils were handled to prevent potential food contamination during the food service. These practices had the potential to affect all residents. The sample size was 13 and the facility census was 41.
  2. E
    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
    F728 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04A1 Based on record review and interview, the facility failed to ensure 3 nurse aides (NA-F, NA-P, and NA-Q) were certified through the Nebraska board of nursing prior to working with residents. The sample size was 13. The facility census was 41.
  3. D
    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
    F606 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04A3b Based on record review and interview; the facility failed to assure background checks were completed through the State Nurse Aide (NA) registry for 2 (NA-S and NA-T) of 5 employees. The sample size was 13. The facility census was 41.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(8) Based on record review and interview, the facility failed to submit investigations to the State agency within 5 working days related to potential misappropriation of money for Resident 9. The sample size was 13. The facility census was 41.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 5, 2023
    Inspectors wroteLicensure Reference Number NAC 12-006.17 Based on record review and interview, the facility failed to prevent the potential spread of COVID-19 related to testing symptomatic residents for residents 22 and 30. The sample size was 13 and the facility census was 41.

Fire safety inspections

7 fire safety citations on file: 3 on December 3, 2025, 2 on September 24, 2024, 2 on September 5, 2023.

Every fire safety citation7 citations
  1. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · December 3, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 3, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 3, 2025 · Corrected (the home has a date of correction)
  4. F
    Have restrictions on the use of highly flammable decorations.
    K 753 · September 24, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · September 24, 2024 · Corrected (the home has a date of correction)
  6. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · September 5, 2023 · Corrected (the home has a date of correction)
  7. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · September 5, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNebraskaUnited States
All nursing staff (RN, LPN and aides)3.813.983.86
Registered nurses1.230.670.69
All nursing staff on weekends3.203.483.42
Nurse aides2.42
Licensed practical nurses0.16
Nursing staff turnover (share who left in a year)55.1%48.7%45.8%
Registered nurse turnover50.0%44.1%42.9%
Administrators who left1

CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.05 on weekdays and 3.20 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.33 in April to June 2025 to 3.81 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.811.234.053.20 1.8%0 of 9039
Oct to Dec 20254.951.745.274.15 20.9%0 of 9236
Jul to Sep 20254.851.815.174.03 19.7%0 of 9239
Apr to Jun 20254.331.244.633.57 13.4%0 of 9139
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Nebraska, Jan to Mar 20264.010.664.213.537.1%1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNebraskaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.319.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.81.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
12.84.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.32.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.718.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.94.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.520.715.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.91.8

Owners and operators

Legal business name: SACRED HEART HEALTH SERVICES. CMS links this home to Avera Health, a group of 13 nursing homes averaging 3.8 stars overall.

NameRoleTypeShareSince
Avera Health5% or greater direct ownership interestOrganization100%02/01/2011
Laflan, DouglasContracted managing employeeIndividual02/01/2011
Becker, CarolynCorporate directorIndividual07/01/2017
Ekeren, DouglasCorporate directorIndividual07/01/2014
Greeneway, KathyCorporate directorIndividual07/01/2017
Hiltunen, ScottCorporate directorIndividual07/01/2021
Hunhoff, BernieCorporate directorIndividual07/01/2019
Hurley, JohnCorporate directorIndividual07/01/2020
Kolecka, DebraCorporate directorIndividual07/01/2017
Leon, AmyCorporate directorIndividual07/01/2019
Lorang, ThomasCorporate directorIndividual07/01/2019
Mikkelsen, BethCorporate directorIndividual07/01/2019
Schindler, SteveCorporate directorIndividual07/01/2020
Schmeichel, SteveCorporate directorIndividual07/01/2021
Seifert, RoxanneCorporate directorIndividual07/01/2021
Steward, BrianCorporate directorIndividual07/01/2018
Strom, RichardCorporate directorIndividual07/01/2017
Sutton, BobbyCorporate directorIndividual06/18/2018
Welbig, LucilleCorporate directorIndividual02/01/2011
Avera HealthOperational/managerial controlOrganization02/01/2011
Ekeren, DouglasOperational/managerial controlIndividual07/01/2014

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on December 3, 2025: "Provide and implement an infection prevention and control program."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 3, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on September 5, 2023: "Not hire anyone with a finding of abuse, neglect, exploitation, or theft."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 3, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Nebraska average of 3.48.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Nebraska contacts for a concern about a nursing home

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Common questions

What is Avera Creighton Care Centre's Medicare star rating?
CMS rates Avera Creighton Care Centre 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avera Creighton Care Centre get at its last inspection?
4 health deficiencies at the standard inspection on December 3, 2025. The Nebraska average is 7.4.
Has Avera Creighton Care Centre been fined?
CMS lists no fines in the last three years.
Does Avera Creighton Care Centre accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avera Creighton Care Centre?
CMS lists 21 owners and managers, and links the home to Avera Health. Legal business name: SACRED HEART HEALTH SERVICES.

Sources

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